Evidence for Changing Guidelines for Routine Screening for Retinopathy of Prematurity

Abstract

Screening only infants having a BW of 1200 g or less is the most cost-effective strategy for routine ROP screening.

Incidence and Risk factors for Retinopathy of Prematurity in Neonates of weight <1.5 kg and/ or <32 weeks of Gestation in a tertiary care Hospital

“…In 2000 a Danish study found a statistically significant decrease in incidence of ROP in infants weighing more than 1250g 26 . Similar observations were also made in a multicentre study in UK 27 . However, in most instances, it was not possible to compare studies, as the inclusion criteria , unit protocol and quality of care was different in different units.…”

Cost and effects of risk factor guided screening strategies for retinopathy of prematurity for different treatment strategies

“…Lee et al. () and Yanovitch et al. () compared different screening strategies, comparable with our analysis.…”

“…Part of them compared different treatment methods (Brown et al 1990;Kamholz et al 2009) or screening methods (Castillo-Riquelme et al 2004;Jackson et al 2008), a single screening strategy with no treatment (Dunbar et al 2009) or different screening frequencies (Javitt et al 1993). Lee et al (2001) and Yanovitch et al (2006) compared different screening strategies, comparable with our analysis. Lee (Lee et al 2001) found a screening strategy of screening only infants having a BW of 1200 g and less to be the most cost-effective strategy for routine ROP screening.…”

“…Lee et al (2001) and Yanovitch et al (2006) compared different screening strategies, comparable with our analysis. Lee (Lee et al 2001) found a screening strategy of screening only infants having a BW of 1200 g and less to be the most cost-effective strategy for routine ROP screening. In our cohort, we would have missed two infants treated for ROP using this strategy.…”

Importance of Birth Weight as a Risk Factor for Severe Retinopathy of Prematurity When Gestational Age Is 30 or More Weeks

“…7-10 The overall appearance of any degree of ROP in 780 infants across all gestational ages and birth weights (19%) parallels the 20.5% over essentially the same range of gestational ages reported from a comparable medical environment in the Northeastern United States. 9 Similarly, the 7.5% of our examined infants of any gestational age who needed treatment approximates the 8.1% reported in an extensive Canadian study.…”